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Catastrophic outcomes of noncardiac surgery soon after coronary stenting

Grzegorz L. Kauza, MD, PhD^a, Jane Joseph^a, Joseph R. Lee, MD^a, Michael E. Raizner, MD^a and Albert E. Raizner, MD, FACC^a

^a Methodist Hospital, Baylor College of Medicine, Houston, Texas, USA

View larger version (72K): [in a new window]   Figure 1 Patient F.D., case history #1. (A) 70% eccentric stenosis of the circumflex coronary artery. (B) After successful placement of 3.0 Palmaz-Schatz coronary stent. (C) Total occlusion due to stent thrombosis on the sixth day after surgery.

View larger version (74K): [in a new window]   Figure 2 Patient J.C., case history #2. (A) Initial angiographic appearance of the lesion in the circumflex coronary artery. (B) Postprocedural result with 3.0 Palmaz-Schatz stent. (C) Total thrombotic occlusion of the previously stented site on the first postoperative day, not amenable to angioplasty.

View larger version (79K): [in a new window]   Figure 3 Patient V.G., case history #3. Electrocardiogram recorded during chest pain and symptoms of pulmonary edema. Bradycardia and ST segment changes consistent with myocardial infarction.